Provider Demographics
NPI:1053854224
Name:KAHN, DEWEY THEODORE II (DRS, CDI, OTR/L)
Entity Type:Individual
Prefix:MR
First Name:DEWEY
Middle Name:THEODORE
Last Name:KAHN
Suffix:II
Gender:M
Credentials:DRS, CDI, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 TAMARACK RD
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:NH
Mailing Address - Zip Code:03861-6317
Mailing Address - Country:US
Mailing Address - Phone:617-649-6204
Mailing Address - Fax:
Practice Address - Street 1:105 CORPORATE DRIVE, PEASE INTERNATIONAL TRADEPORT
Practice Address - Street 2:NORTHEAST REHABILITATION HOSPITAL
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-501-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1549174400000X
NH0711225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility